{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:51:21Z","timestamp":1765828281308,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U2GGH000994"],"award-info":[{"award-number":["U2GGH000994"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The United Nations' Sustainable Development Goal 3.7.1 addresses the importance of family planning. The objective of this paper is to provide information on family planning to policymakers to help increase access to contraceptive methods to women in <jats:styled-content style=\"fixed-case\">sub\u2010Saharan<\/jats:styled-content> Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the Population\u2010based HIV Impact Assessment studies conducted in 11 sub\u2010Saharan African countries from 2015 to 2018 to assess the relationship between HIV services and family planning. Analyses were restricted to women aged 15\u201349\u2009years who reported being sexually active within the past 12\u2009months and had data on contraceptive use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately 46.4% of participants reported using any form of contraception; 93.6% of whom used modern contraceptives. Women with a positive HIV status were more likely to use contraceptives (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) than HIV\u2010negative women. Unmet need was higher among women who were confirmed to be HIV\u2010negative in Namibia, Uganda, and Zambia than confirmed to be positive. Women aged 15\u201319\u2009years used contraception less than 40% of the time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This analysis highlights crucial gaps in progress among HIV\u2010negative and young women (aged 15\u201319\u2009years). To provide access to modern contraception for all women, programs and governments need to focus on women who desire but do not have access to these family planning resources.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14960","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T06:39:45Z","timestamp":1688193585000},"page":"875-887","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Contraception and intersection with <scp>HIV<\/scp> services in 11 high <scp>HIV<\/scp> burden <scp>sub\u2010Saharan<\/scp> African countries: Results from the population\u2010based <scp>HIV<\/scp> Impact Assessment cross\u2010sectional studies conducted from 2015 to 2018"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5713-8700","authenticated-orcid":false,"given":"Chelsea","family":"Solmo","sequence":"first","affiliation":[{"name":"ICAP at Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine A.","family":"Yuengling","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Cooney","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karampreet","family":"Sachathep","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Ayton","sequence":"additional","affiliation":[{"name":"Escuela de Medicina y Ciencias de la Salud  Monterrey Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neena","family":"Phillip","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail","family":"Greenleaf","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Gummerson","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora","family":"Hennesy","sequence":"additional","affiliation":[{"name":"Public Health Institute  Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sileshi","family":"Lulseged","sequence":"additional","affiliation":[{"name":"ICAP at Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dereje","family":"Habte","sequence":"additional","affiliation":[{"name":"Division of Global HIV &amp; 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